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DR. G'S URGENT RADIOLOGY LLC

Company Details

Entity Name: DR. G'S URGENT RADIOLOGY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 14 Mar 2023 (2 years ago)
Document Number: L23000132107
FEI/EIN Number 99-2758075
Mail Address: 1425 S. CONGRESS AVENUE, DELRAY BEACH, FL, 33445
Address: 1383 S. Military Trail, Deerfield Beach, FL, 33442, US
ZIP code: 33442
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1629807771 2024-07-29 2024-10-03 1425 S CONGRESS AVE, DELRAY BEACH, FL, 334456384, US 1383 S MILITARY TRL, DEERFIELD BEACH, FL, 334427634, US

Contacts

Phone +1 954-928-9622
Fax 5612741930

Authorized person

Name MYLISSA GRABER
Role OWNER
Phone 5613309363

Taxonomy

Taxonomy Code 261QR0200X - Radiology Clinic/Center
Is Primary Yes

Agent

Name Role Address
GRABER MYLISSA Agent 1425 S. CONGRESS AVENUE, DELRAY BEACH, FL, 33445

Manager

Name Role Address
GRABER MYLISSA Manager 1425 S. CONGRESS AVENUE, DELRAY BEACH, FL, 33445

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-29 1383 S. Military Trail, Deerfield Beach, FL 33442 No data

Documents

Name Date
ANNUAL REPORT 2024-04-29
Florida Limited Liability 2023-03-14

Date of last update: 02 Feb 2025

Sources: Florida Department of State